| Doctor Name: | DR. JAMES GREGORY TREVINO |
| NPI Number: | 1548388820 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | J7292 |
| Business Practice Address: | 8038 Wurzbach Rd Suite 250 San Antonio, TX - 782293817 |
| Business Phone Number: | 2106158303 |
| Business Fax Number: | 2106142223 |
| Mailing Address: | 8038 Wurzbach Rd, Suite 250 SAN ANTONIO |
| State: | TX |
| Postal Code: | 782293817 |
| Phone Number: | 2106158303 |
| Fax Number: | 2106142223 |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 11/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | J7292 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |